Individual provider Active NPI

Whitney Brooks Smith, PT

  • Physical Therapist
  • Glasgow, KY
National Provider Identifier
1023430386
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006312 Issued in KY
Practice address
106 Columns Plaza Dr
Glasgow, KY 42141-8068
Phone
(270) 651-9390
Fax
(270) 629-3156
NPI assigned
Jan 6, 2014
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006312 KY Primary

Addresses

Primary practice location

106 Columns Plaza Dr
Glasgow, KY 42141-8068

Mailing address

106 Columns Plaza Dr
Glasgow, KY 42141-8068
Phone (270) 651-9390

Other practice location 1

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 780-0552

Other identifiers 1

IdentifierTypeStateIssuer
7100294280MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108000129 KY Practitioner - Physical Therapist in Private Practice 3476781964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006312KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Oct 17, 2019 Accepting new patients
Graves Gilbert Clinic PLLC Physical Therapist CurrentSince Oct 17, 2019 Accepting new patients
H2 Rehabilitation Services of Kentucky, LLC Past Accepting new patients
H2 Rehabilitation Services of Kentucky, LLC Past Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1023430386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418068",
            "telephone_number": "270-651-9390",
            "fax_number": "270-629-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418068",
            "telephone_number": "270-651-9390",
            "fax_number": "270-629-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011708",
            "country_code": "US",
            "telephone_number": "270-780-0552",
            "fax_number": "270-780-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WHITNEY",
        "middle_name": "BROOKS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100294280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.